Individual
KATLYN LANGEBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
647 W 2ND ST STE B, JASPER, IN 47546-3243
(812) 477-6103
(812) 469-3285
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013267A
IN
363LF0000X
Family Nurse Practitioner
71013267A
IN
Other
Enumeration date
11/28/2022
Last updated
08/25/2023
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